Before treatment:
Adam was normal when he was born, he began to walk when he was 1 year old, he couldn’t walk well, he bent knees when he walked, sometimes, he fell down. When he grew up, his disease become worse, he walked slowly, he had scissors gait, it was easy for him to fall down, his physical development was slow. He was taken to local hospital and diagnosed with Hereditary Ataxia 1 year old. His doctor prescribed some medicines to promote his physical development and he also did rehabilitation training. At present, his balance is bad, he couldn’t take care of himself. His family wants him to have a better life, so he was taken to our hospital.
His spirit and appetite were bad, his sleep was good. His urination and defecation were normal. his physical development was slowly than other kids.

Admission PE:
Bp: 106/68mmHg; Hr: 120/min, Temperature: 36.6. Height: 123cms, weight: 22kg. The skin and mucosa were normal with no yellow stains or petechia. The respiratory sounds in both lungs were slightly rough, with no dry or moist rales. The heart sound was strong. The cardiac rhythm was regular, with no obvious murmur in the valves. The abdomen was flat, with no masses or tenderness. The liver and spleen were normal. Sitting up from supine position was slowly, walking slowly, double lower limbs could not straight completely, he always bend his knees, his head and neck bended forward when he walked.

Nervous System Examination:
Adam Hesham was alert, his spirit was weak. His speech voice was small, and the speed was slow. His memory, calculation and coordination were normal. Both pupils were equal in size and round, the diameter was 3.0mm. Both pupils were sensitive to light stimulus. His sight and vision field were normal. There was horizontal nystagmus. The forehead wrinkle pattern was symmetrical. Both side chew muscles were symmetrical and powerful. The nasolabial sulcus was equal in depth. There was no teeth deflection. He could raise the soft palate strongly. The uvula was in the center. Cheek blowing was normal. The tongue was centered in the oral cavity. He could turn neck and shrug his shoulders, but was weakness. The muscle power of upper limbs was at level 5-, the muscle power of hands’ grip was at level 4+, the muscle of lower limbs was at level 4. The muscle tension of four limbs was normal. The both side biceps brachii and triceps brachii, radial periosteal reflex, patella tendon reflex and both side ankle reflex were abnormal. Bilateral abdominal reflexes were normal. Both side Babinski sign was positive. The deep and shallow sensation was normal. The epicritic sensibility was normal. Both side finger-to-finger test and rapid rotation test, finger-to-nose test and heel-knee-tibia test were not firm, especially finger-to-nose test and heel-knee-tibia test were more poor. The rombergs sign was positive, his balance was poor. The meningeal irritation sign was negative.

Treatment:
He coughed with phlegm, accompanied fever when he came our hospital, our doctor gave him the anti-inflammatory, reduced phlegm and relieved cough treatment. After admission, Adam Hisham was diagnosed as 1.Hereditary Ataxia 2. Upper Respiratory Infection (URI) 3. Hyperthyroidism. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to nourish nerves and improve blood circulation. He also had rehabilitation training.

Post-treatment:
After 14 days of treatment, the infection was controlled cough and expectoration disappearance basically, his spirit was better, double arm rapid rotation test, finger to nose test and finger to finger test was more firm than before. His mental state was better than before, his walking gait was better than before.